Samantha Rose Hinzman, AG-ACNP - Medicare Nurse Practitioner in Charlottesville, VA

Samantha Rose Hinzman, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Charlottesville, Virginia. Her current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 924-3627.

Samantha Rose Hinzman is licensed to practice in Virginia (license number 0024187842) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255013660.

Contact Information

Samantha Rose Hinzman, AG-ACNP
1215 Lee St,
Charlottesville, VA 22908-0816
(434) 924-3627
Not Available



Physician's Profile

Full NameSamantha Rose Hinzman
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255013660
  • Provider Enumeration Date: 08/04/2023
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456705805
  • Enrollment ID: I20231004000036

Medical Identifiers

Medical identifiers for Samantha Rose Hinzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255013660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 0024187842 (Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care 0024187842 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Rose Hinzman allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Rose Hinzman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Rose Hinzman, AG-ACNP
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -
Samantha Rose Hinzman, AG-ACNP
1215 Lee St,
Charlottesville, VA 22908-0816

Ph: (434) 924-3627

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